Individual
PATRICIA ANN MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
260 RAINPRINT LN, MURRYSVILLE, PA 15668-1252
(888) 305-5439
Mailing address
PO BOX 704, MURRYSVILLE, PA 15668-0704
(888) 305-5439
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH004693
PA
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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